MARIA LOURDES AVILA (NPI# 1043855059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043855059 |
| Entity Type | Individual |
| Full Name | MARIA LOURDES AVILA |
| Practice Address |
17053 Foothill Blvd Fontana CA 92335-3574 |
| Practice Telephone | 9093291636 |
| Mailing Telephone | 9093291636 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548648348 | Maria G Avila | Dental Assistant | 4126 Rogers St, Los Angeles, CA 90063-1154 | 2015-05-12 |
| 1932568839 | Maria Avila | Counselor | 5284 Adolfo Rd, 100, Camarillo, CA 93012-6787 | 2016-02-19 |
| 1447514344 | Maria Luisa Avila | Counselor | 43520 Division St, Lancaster, CA 93535-4089 | 2012-06-26 |
| 1912267105 | Maria Noela Avila | Registered Nurse | 1701 Jacaman Rd, Suite 8b, Laredo, TX 78041-6210 | 2012-05-21 |
| 1306166103 | Maria Azucena Avila | Case Manager/Care Coordinator | 1814 W Lincoln Ave, Anaheim, CA 92801-6730 | 2010-06-03 |
| 1164759635 | Maria L Avila | Counselor | 801 Empire St, Fairfield, CA 94533-5702 | 2009-11-04 |
| 1942336524 | Maria Mercedes Avila | Social Worker | 439 S Union St, Lawrence, MA 01843-2837 | 2007-02-26 |
| Street Address |
17053 FOOTHILL BLVD |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376836460 | Ravi R Patel | Psychiatry & Neurology | 17053 Foothill Blvd, Fontana, CA 92335-3574 | 2011-05-23 |
| 1518502525 | Gregory None Nyx | Peer Specialist | 17053 Foothill Blvd, Fontana, CA 92335-3574 | 2019-11-13 |
| 1245722362 | Henry Cabrera | Nurse Practitioner | 17053 Foothill Blvd, Fontana, CA 92335-3574 | 2018-06-04 |
| 1174902845 | Claudia Jessica Silva | Social Worker | 17053 Foothill Blvd, Fontana, CA 92335-3574 | 2015-05-27 |
| 1831484393 | Ayako Nakano | Registered Nurse | 17053 Foothill Blvd, Fontana, CA 92335-3574 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1649749169 | Ian Schultheiss | Peer Specialist | 14677 Merril Avenue, Fontana, CA 92335 | 2018-11-14 |
| 1801409081 | Terence Smith | Peer Specialist | 14677 Merrill Ave, Fontana, CA 92335-4219 | 2020-08-26 |
| 1922619493 | Ryan Jones | Peer Specialist | 14677 Merrill Ave, Fontana, CA 92335-4219 | 2020-08-10 |
| 1801412069 | Alana Guatimea Leary | Peer Specialist | 14677 Merrill Ave, Fontana, CA 92335-4219 | 2020-06-23 |
| 1386270270 | Michael Scott Mattice | Peer Specialist | 14677 Merrill Ave, Fontana, CA 92335-4219 | 2020-03-23 |
| 1518502525 | Gregory None Nyx | Peer Specialist | 17053 Foothill Blvd, Fontana, CA 92335-3574 | 2019-11-13 |
| 1164065041 | John Edward Prater Sr. | Peer Specialist | 14677 Merrill Av., Fontana, CA 92335 | 2019-10-23 |
| 1104486471 | Tanisha Sharee Blaze | Peer Specialist | 14677 Merrill Ave, Fontana, CA 92335 | 2019-06-18 |
| 1245898220 | Francine Prieto-estrada | Peer Specialist | 14677 Merrill Ave., Fontana, CA 92335 | 2019-06-04 |
| Find all providers in FONTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.